| Violation Item
| Demerits
| Violation Description
| CDI | R | VR |
|
|---|
|
2
|
1
|
Floors clean, carpet clean, dry, odor free |
No |
No
|
No |
Observed many stained carpets in resident rooms and hallways. Thresh holds missing throughout facility. Sticky bathroom floor, room 330.**Keep all flooring clean. 15A NCAC 18A .1309 (a). |
|
3
|
1
|
Walls and ceilings cleanable, clean, good repair |
No |
No
|
No |
Observed stained ceiling tiles throughout facility. Hole in door in room 330. Missing baseboard, memory care clean linen room. Rusted night light cover, room 170. Loose baseboard with garbage stuffed behind it, end of hall memory care. Wall damage by room 141. Closet doors need wiping down, room 140. Loose wallpaper in bathrooms of rooms 330 and 174. Cobwebs and dusting needed near windows in several areas.**Keep all walls and ceilings clean and in good repair. 15A NCAC 18A .1310. |
|
8
|
2
|
Facilities conveniently located, clean and in good repair |
No |
No
|
No |
Observed rusted toilet chair, room 311. Bathtique on 3rd floor needs thorough cleaning. Toilet seat in room 150 needs replacing. Soiled toilet chair in room 140. Hand sinks needs wiping out in activities room and 3rd floor wellness. Loose toilet seat in room 349. Slimy non-slip shower mat room 362. Cracked toilet lid, 2nd floor hall bathroom. Broken edging on vanity, 1st floor bathroom. Loose toilet seat, urine on toilet base in memory care hall bathroom. Rusty and soiled toilet chair, room 174. **Keep all bathing equipment clean and in good repair. 15A NCAC 18A .1312 (a) and (f).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b).**Keep all toilet equipment clean and in good repair. 15A NCAC 18A .1312 (b). |
|
10
|
0.50
|
Bedpans, urinals, bedside commodes and emises basins properly cleaned and disinfected |
No |
No
|
No |
Observed 2 soiled urinals in room 330.**All bedpans/urinals/emesis basins shall be cleaned after each use. 15A NCAC 18A .1312 (c). |
|
12
|
1.50
|
Lavatories have mixing faucet or tempered water, soap hand towel and hand drying device |
No |
No
|
No |
Repeat Non-Compliance: Observed no operable hand sanitizer in beauty salon. No paper towels in laundry room, memory care. Soiled utility, no soap, 1st floor.**Provide liquid soap and disposable towels at all handwashing sinks. 15A NCAC 18A .1312 (d). |
|
28
|
1
|
Adequate storage, area clean, items properly stored |
No |
No
|
No |
Repeat Non-Compliance: Observed diapers stored on floors and below sink plumbing in several rooms. Boxes on floor in 2nd floor wellness room.**Patient care or consumable items shall not be stored below exposed sewage lines. 15A NCAC 18A .1318 (a).**All patient care or consumable items shall be stored at least 8 inches above the floor. 15A NCAC 18A .1318 (a). |
|
30
|
1
|
Medication carts clean, sharps containers affixed, food and utensils handled properly |
No |
No
|
No |
Observed soiled pill crushers and baggies holding single service cups and spoons and pill cups with debris at bottom, all med carts.**Food and utensils used on medication carts shall be handled in a sanitary manner. 15A NCAC 18A .1318 (c). |
|
32
|
2
|
Furniture clean and in good repair. Mattresses clean, dry, odor free |
No |
No
|
No |
Observed garbage in drawers and under cushions of common furniture. One hallway dresser with drawer pulls and a drawer missing. Window seats visibly soiled. Beauty shop needs thorough cleaning. Cabinets need wiping out of spills throughout. Broken glass/frames in 326, 330 and bathtique 1st floor. Stained upholstered chair in room 330. |
|
33
|
1
|
Linen changed when soiled. Soiled linen handled properly |
No |
No
|
No |
Observed soiled pad and torn blanket in room 326. Torn pillow in clean linen area 3rd floor. Soiled sheets, room 140. Blood stains on sheets room 362. Sheet and quilt with debris, room 170. Stained bedding in room 226.**Soiled laundry shall be handled and stored separately from clean laundry using separate cleanable carts or bags. 15A NCAC 18A .1319 (b).**Clean bed linen in good repair shall be provided for each individual and shall be changed when soiled. 15A NCAC 18A .1319 (b). |
|
34
|
1
|
Laundry area and equipment clean, linen disinfected, clean laundry stored and handled separately |
No |
No
|
No |
Repeat Non-Compliance: Observed torn linen cover, wellness center 2nd floor. Linens not properly covered in linen rooms with other storage. Soiled linen cart covers in 2 linen rooms.**Clean linen shall be stored and handled in a separate room or area, or in another manner that will prevent contamination of clean linen. 15A NCAC 18A .1319 (b).Call for reinspection when ready 704-336-5100. |